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A new free flap for the head and neck
Whilst the radial forearm free flap (RFFF) is well known and tested, this group of surgeons from Sunderland, UK, discuss their experience with a comparable flap. They advocate the medial sural artery perforator flap (MSAPF), with a long pedicle if...
Intra-oral implants in posterior maxilla - predictors of failure
Generally current dental implant placement is a successful procedure with predictable outcomes, especially when sited within normal quality and quantity of bone. The posterior maxilla, however, can be challenging. This is especially so with reduced bone volume following loss of...
Update on necrotising fasciitis
As a reviewer, there is always a temptation to select those articles in which one has a particular interest and to review them, rather than those which may very well deserve a review, but are outside one’s personal experience. So...
The role of bacterial biofilms in aesthetic medicine prioritising prevention
The author provides an overview of literature pertaining to the complex and specialist subject of biofilms that may occur in aesthetic medicine. A brief overview is presented concerning the pathophysiology of biofilms with some discussion concerning differential presentations; early and...
Hyaluronidase is not foolproof prevention is key
The author presents a brief account of some key messages to practitioners undertaking non-surgical nose augmentation using calcium hydroxylapatite (Ca HA); reinforcing a robust, current and accurate knowledge of facial anatomy as well as the established safety profile of CaHA....
How accurate are doctors in estimating burn size
This was a retrospective review with data collated from two burns units in Sydney, Australia. The purpose of the study was to compare total body surface area (TBSA) burn size estimation between referring centres and burn units in adult patients....
Older people and skin challenging perceptions of the ageing process
This is an interesting account of the dermatological senescent changes with a strong focus on the pivotal role nurses can provide in promoting good skin health practices. A comprehensive description of underlying physiological changes and the physical manifestations is presented...
Nasal deformity following CPAP injury
Nasal continuous positive airway pressure (nCPAP) is commonly used as a non-invasive alternative to endotracheal intubation and tracheotomy, to provide respiratory support to very low birth weight (VLBW) (<1500g) neonates. Nasal injury is a well recognised complication and figures quoted...
Surgical indications for infantile haemangiomas
Infantile haemangiomas (IHs) are embryonic tumours and represent the most common tumour of infancy, with an estimated incidence of 4-5%. There is a well described natural history, usually becoming apparent in the first few weeks of life and proliferating rapidly,...
Semi dynamic reconstruction of the lower lip
The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...
Post auricular advancement flap for partial helix defect repair
Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna with its subunits presents a difficult reconstructive challenge as successful reconstruction requires both similar tissue cover and a supporting framework. Partial...
